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Permit
1, '° CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2005 -00404 Ili DEVELOPMENT SERVICES DATE ISSUED: 8/17/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S12600 -00300 SITE ADDRESS: 09330 SW WASHINGTON SQUARE RD ZONING: C -G SUBDIVISION: WASHINGTON SQUARE LOT: JURISDICTION: TIG Project Description: TI, walls and restrooms. REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: ALT FIRST: 0 sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: 2N : sf N: S: E: W: OCCUPANCY GRP: M TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: 204 BASEMENT: sf AREA SEP. RATED: STOR: 1 HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: N MEZZ ?: N REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ -s350, 000-89- J/ 4 j 7 /o Owner: / Contractor: WASHINGTON SQUARE LLC CUSTOM COMMERCIAL BUILDERS INC BY THE MACERICH COMPANY 688 SWEET LANE 9585 SW WASHINGTON SQUARE RD COTTAGE GROVE, OR 97424 onRD 0 -5037 TJ GAe: Phone: 541 - 767 -0605 FEES Reg #: LIC 151674 Description Date Amount REQUIRED ITEMS AND REPORTS [BUILD] Permit Fee 8/17/2005 $1,714.30 [TAX] 8% State Surcharl 8/17/2005 $137.14 [BUPPLN] Pln Rv 8/17/2005 $1,114.30 [FLS] FLS Pln Rv 8/17/2005 $685.72 Total $3,651.46 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if wo not started within 180 days of issuance, or if work is suspended for more than 180 days:-'ATTE TION: Orego. aw requires you to follow the rules adopted by the Oregon Utility Notification Center. T iosg rule : are set forth i OAR/ 952 - 001 -001.0 through OAR 952 - 001 -0100. You may obtain a copy of these -s o . - • -- t ions to OiNC-:y calling ( -246- 9 or 1- - 332 -2344. Issue at .,� Permitt . iy .r" / v� Call 503-639-4175 by 7:00 a.m. for an inspection that business da Ca 503 y day. p y IF This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. • y �' B uii lding Permit Application FOR OFFFFI ICl_ LIST ONLY i City of Tigard � [) J � _ Permit No . : l d o 40 0 i1, til� / 13125 SW Hall Blvd., Tigard, O 7 �� 3 Plan Re �� Phone: 503.639.4171 Fax: 503.5 8.1960 ( 'T" - pate/g •� 1 Other Permit Line: 503.639.4175 •� "� 2 ' t _ _ _ J -- - I _Atm NI r ; , Date y M S See A Chea t for Internet www.ci.tigard.or.us V l� Nottfied/Met ed/Method. Supplemental Info 6 NPK REQUIRED DATA: l- AND 2- FAMILY DWELLING t ,New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Add ition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the ' CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling Commercial /industrial Valuation: $ El Accessory building ❑ Multi - family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: - JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address e l •3 0 Wt6 t r l d t j a ` T O 1 , j e - - j LS �� r � e 0 New dwelling area: square feet City/State/ZIP Garage /carport area: square feet Suite/bldg. /apt. no.: w!! Project name:044 4,0 e, /5 e %_( j Covered porch area: square feet Cross street /directions to job site: \ e N.. (6... „6„-- c Deck area: square feet 'i-- i%L -- Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Lot no.: Permit fees' are based on the value of the work performed Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the . DESCRIPTION OF WORK work indicated on this application. • k Yd 7 / Valuation: S t 4-k i e-t etp- "Ce- a ->at -ri vi I- t S to col tf '-A 6-L �—t� 1�� Existing building area 'QS. Q square feet New building area. , square feet pt. PROPERTY OWNER ' ' ❑ TENANT Number of stories: 2- Name 1... . c, -4e ''- I, c e 4 ,,, { T,,,24..., Y Type of construction • \i Address: 4 ( w l L1,11. < Occupancy groups: IA 1.4e,r4,4,1_) City /State /ZIP: °3 1 µ �� lam- 64s. 90 40 ( Existing Ht_1ecal,,nt,Y� Phone: (3%6 .514 co ODD Fax: ( ) New. ddi. C44- Itt ..APPLICANT . ❑ CONTACT PERSON NOTICE Business name: 4.4.i t 3,.► Ll ‘.{ . 4 .�'4 sec...., All contractors and subcontractors are required to be Contact name. ( I, ,S- L •Lr licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 3 4'S 5 { ie- t tJ1.1 I tecle. tOle.. jurisdiction m which work is being performed. If the City /State /ZIP: � &$U IOC 4 4 x,333 applicant is exempt from licensing, the following reasons apply: Phone. ( 330) COCp(O Go' -Z -J Fax.. (. &Coto b 33 4— E -mail: - CONTRACTOR .jer c. /S- (�� - 1 gyp. Business name: e, Lea B•(, CAsiett,t tAez LJk. 'Bo !,(_,I,Cg,e. lllel BUILDING PERMIT FEES* Address: 6 epe, S,LD 'Z- t✓ tiF.-) - Please refer to fee schedule. City /State /ZIP: CjerriL(oe, &IFOCif ©- af 1 eel Fees due upon application Phone: (S.( ) -1(0 7 p (0 p e Fax: ( ) // Amount received CCB lie.: l 6 tit 7g 4 I, , AP Date received: Authorized sive .lure: --a /,, v This permit application expires if a permit is not obtained `� - within 180 days after it has been accepted as complete. ■ Print name" . tm� i s., L�-�Y eIF: ° Mr • Fee methodology set by Tri- County Building Industry L ' Service Board. i \ Building \Pennits\ TI- PermitApp doe 12/03 440-4613T(11/02/COM/WEB) • - Z 0 Building Division Aift "V,'�'�� A Plan Submittal Requirement Matrix mal Commercial & Multi- Family - New, Additions or Alterations City of Tigard Type of Submittal # of Plan (Includes new, additions and alterations.) Required at Submittal ' Demolition Permit 2 (site plan required showing location and square footage of all buildings to be demolished) Site Work 2 (must include location of all accessible parking) • Plumbing (site utilities) 2 Building 1* Fire Protection System 3** • Mechanical . . 2 ' . Plumbing (building fixtures) 2 • Electrical 2 J . • Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue) * For over -the- counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original' seal of an Oregon licensed fire suppression engineer, or NICET level "3", technicians. . S • • \ Bwlding\Pennns\BUP- T1- PermitApp doc 12103 440- 4613T(I1 /02/COMAVBB) CJT - PF TIGARD BUILDING DIVISION PERMIT #: BuP2005-00404 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/17/2005 Phone: (503) 639 -4171 V Inspection Requests (24 Hrs.): (503) 639 -4175 °'i I.. INSPECTION WORKSHEET FOR DATE: 8/30/2005 TIME: 7 :05AM PAGE: 97 SITE ADDRESS: 09330 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: SOMA DESCRIPTION: TI, walls and restrooms. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639 -8865 CONTRACTOR: CUSTOM COMMERCIAL BUILDERS INC PHONE #: 541- 767 -0605 Inspection Request Scheduled For: Date: 9/3012005 Pour Time: Code # Inspection Description Confirm # Contact # Message 245 Firewall . 017072 -02 253 - 709 -7055 N Corrections /Comments /Instructions: AI N „ ,all / _, C' iv / - 1 . - PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL U ALL FOR INSPECTION ❑ ADDITI • NAL .FE : S ASSESSED II IA Inspector: , Date: one #: (503) 718 - L - . CITY OF TIGARD BUILDING DIVISION e PERMIT #: BUP2005 -00404 1 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 8/17/2005 Phone: (503) 639 -4171 .v' Inspection Requests (24 Hrs.): (503) 639- 4175il INSPECTION WORKSHEET FOR DATE: 9/30/2005 TIME: 7:05AM PAGE: 96 SITE ADDRESS: 09330 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: SOMA DESCRIPTION: T I, walls and restrooms. ' OWNER: WASHINGTON SQUARE LLC, PHONE # 503 - 639-8865 CONTRACTOR: CUSTOM COMMERCIAL BUILDERS INC PHONE #: 541- 767 -0605 Inspection Request Scheduled For: Date: 9/30/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 287 Suspended ceiling 017072 -03 253.709-7055 N • Corrections /Comments /Instructions: ( .. • ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIO AL FE ASSESSED Inspector: Date: ne #: (503) 718- __19__/________ CITY.OF TIGARD BUILDING DIVISION PERMIT #: BUP2005- 00404 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/17/2005 Phone: (503) 639 -4171 �' Inspection Requests (24 Hrs.): (503) 639 -4175 ..:' " --.. INSPECTION WORKSHEET FOR DATE: 99/30/2005 TIME: 7:05AM PAGE: 98 SITE ADDRESS: 09330 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: • PROJECT NAME: SOMA DESCRIPTION: TI, walls and restrooms. OWNER: WASHINGTON SQUARE LLC, PHONE # 503_639-8865 CONTRACTOR: CUSTOM COMMERCIAL BUILDERS INC PHONE #: 511- 767 -0605 Inspection Request Scheduled For: Date: 9130!2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 275 Framing 017072 -01 253 - 709 -7055 N Corrections/Comments/Instructions: if I I► l 1 , — ANA `l 1 W ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR IN •PECTION ❑ ADDITI NAL EES ASSESSED 4 Inspector: ' , Date: 50 Phone #: (503) 718 - • CITY-OF TIGAIRD BUILDING DIVISION PERMIT #: BUP2005 -00404 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/17/2005 Phone: (503) 639-4171. a°qugl�l Inspection Requests (24 Hrs.): (503) 639 -4175 ' ,. INSPECTION WORKSHEET FOR DATE: 10/5/2005 TIME: 7:00AM PAGE: 61 SITE ADDRESS: 09330 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: SOMA DESCRIPTION: TI, walls and restrooms. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503.639 -8865 CONTRACTOR: CUSTOM COMMERCIAL BUILDERS INC PHONE #: 541- 767 -0605 • Inspection Request Scheduled For: Date: 10/5/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message • 275 Framing 017511 -01 253709 -70555 N Corrections /Comments/ Instructions: r wa-fr ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL U CALL FOR INSPECTION ❑ ADDITIONAL FE ASSESSED Inspector: ,1 Date: �- fahone #: (503) 718 - CITY-OF TIGARD ,5 • BUILDING DIVISION PERMIT #: BUP2005 -00404 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/17/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1015/2005 TIME: 7:00AM PAGE: 60 SITE ADDRESS: 09330 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: SOMA DESCRIPTION: TI, walls and resirooms. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -8865 CONTRACTOR: CUSTOM COMMERCIAL BUILDERS INC PHONE #: ' 541- 767 -0605 Inspection Request Scheduled For: Date: 10/5/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 287 Suspended ceiling 017511 -02 253709 -7055 N Corrections /Comments /Instructions: ..E.4111=111M1=NWA1 Mar IIINEMITror„P- • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ' ❑ FAIL • C LL OR INSPECTION ❑ ADDITIO AL ES ASSESSED d itr ib Inspector: ( Date: (0 , �� Phone #: (503) 718 - CJTY.OF TIGARD BUILDING DIVISION PERMIT #: BUP2005 -000t 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/17/2005 Phone: (503) 639- 4171i Inspection Requests (24 Hrs.): (503) 639 -4175 ':_.. INSPECTION WORKSHEET FOR DATE: 11/1/2005 TIME: 7:06AM PAGE: 20 SITE ADDRESS: 09330 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: SOMA DESCRIPTION: TI, walls and restrooms. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503 - 639-8865 CONTRACTOR: CUSTOM COMMERCIAL BUILDERS INC PHONE #: 541- 767 -0605 Inspection Request Scheduled For: Date: 11/1/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 287 Suspended ceiling • 020009-01 253-709-7055 N Corrections /Comments /Instructions: AA) r ' low Imp up mp ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIO AL FEES ASSESSED / 111 Inspector: I Date: ` Phone #: (503) 718- OF TIGARD BUILDING DIVISION PERMIT #: BUP2005 -00404 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/17/2005 Phone: (503) 639-4171 utt Inspection Requests (24 Hrs.): (503) 639 -4175 °1f L INSPECTION WORKSHEET FOR DATE: 11/4/2005 TIME: 7:08AM PAGE: 68 • SITE ADDRESS: 09330 SW WASHINGTON SQUARE RD CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE LOT #: TYPE OF USE: PROJECT NAME: SOMA DESCRIPTION: TI, walls and restrooms. OWNER: WASHINGTON SQUARE LLC, PHONE #: 503- 639 -8865 CONTRACTOR: CUSTOM COMMERCIAL BUILDERS INC PHONE #: 541- 767 -0605 Inspection Request Scheduled For: Date: 11/4/2005 Pour Time: Code # Inspection Description Confirm # , Contact # Message 299 . Final inspection 020334 -01 253 - 709.7055 N Corrections /Comments /Instructions: 0, RmE_ hPpc2c3ve, Auktz_kt n R2ov i D e- Pd - ik - F I - .W OCCOPINUO? IRMO 7 _ • • PAS n PARTIAL APPROVAL CANCEL El NO ACCESS AI CALL O R INSPECTION ❑ ADDITIO N L FEES ASSESSED Inspector: f Date: l Phone #: (503) 718 -